Using natural language processing in emergency medicine health service research: A systematic review and meta-analysis
CONCLUSIONS: Our analysis revealed a generally favorable performance accuracy in using NLP within EM research, particularly in the realm of radiologic interpretation. Consequently, we advocate for the adoption of NLP-based research to augment EM health care management.PMID:38757352 | DOI:10.1111/acem.14937 (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - May 17, 2024 Category: Emergency Medicine Authors: Hao Wang Naomi Alanis Laura Haygood Thomas K Swoboda Nathan Hoot Daniel Phillips Heidi Knowles Sara Ann Stinson Prachi Mehta Usha Sambamoorthi Source Type: research

Delirium detection in the emergency department: A diagnostic accuracy meta-analysis of history, physical examination, laboratory tests, and screening instruments
CONCLUSIONS: The quantitative accuracy of history and physical examination to identify ED delirium is virtually unexplored. The 4AT has the largest quantity of ED-based research. Other screening instruments may more accurately rule in or rule out delirium. If the goal is to rule in delirium then the CAM-ICU or brief CAM or modified CAM for the ED are superior instruments, although the accuracy of these screening tools are based on single-center studies. To rule out delirium, the Delirium Triage Screen is superior based on one single-center study.PMID:38757369 | DOI:10.1111/acem.14935 (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - May 17, 2024 Category: Emergency Medicine Authors: Christopher R Carpenter Sangil Lee Maura Kennedy Glenn Arendts Linda Schnitker Debra Eagles Simon Mooijaart Susan Fowler Michelle Doering Michael A LaMantia Jin H Han Shan W Liu Source Type: research

Is more better? A multilevel analysis of percutaneous coronary intervention hospital openings and closures on patient volumes
CONCLUSIONS: PCI service expansion is associated with increased PCI at low-volume hospitals and a greater number of elective procedures. Increased governmental oversight may be necessary to ensure that openings and closures of these specialized services yield the desired benefits.PMID:38752293 | DOI:10.1111/acem.14926 (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - May 16, 2024 Category: Emergency Medicine Authors: Renee Y Hsia Rita F Redberg Yu-Chu Shen Source Type: research

Is more better? A multilevel analysis of percutaneous coronary intervention hospital openings and closures on patient volumes
CONCLUSIONS: PCI service expansion is associated with increased PCI at low-volume hospitals and a greater number of elective procedures. Increased governmental oversight may be necessary to ensure that openings and closures of these specialized services yield the desired benefits.PMID:38752293 | DOI:10.1111/acem.14926 (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - May 16, 2024 Category: Emergency Medicine Authors: Renee Y Hsia Rita F Redberg Yu-Chu Shen Source Type: research

Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE-4): Alcohol use disorder and cannabinoid hyperemesis syndrome management in the emergency department
Acad Emerg Med. 2024 May;31(5):425-455. doi: 10.1111/acem.14911.ABSTRACTThe fourth Society for Academic Emergency Medicine (SAEM) Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE-4) is on the topic of the emergency department (ED) management of nonopioid use disorders and focuses on alcohol withdrawal syndrome (AWS), alcohol use disorder (AUD), and cannabinoid hyperemesis syndrome (CHS). The SAEM GRACE-4 Writing Team, composed of emergency physicians and experts in addiction medicine and patients with lived experience, applied the Grading of Recommendations Assessment Development and Evalua...
Source: Accident and Emergency Nursing - May 15, 2024 Category: Emergency Medicine Authors: Bjug Borgundvaag Fernanda Bellolio Isabelle Miles Evan S Schwarz Sameer Sharif Mark K Su Kevin Baumgartner David B Liss Hasan Sheikh Jody Vogel Emily B Austin Suneel Upadhye Michelle Klaiman Robert Vellend Anna Munkley Christopher R Carpenter Source Type: research

Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE-4): Alcohol use disorder and cannabinoid hyperemesis syndrome management in the emergency department
Acad Emerg Med. 2024 May;31(5):425-455. doi: 10.1111/acem.14911.ABSTRACTThe fourth Society for Academic Emergency Medicine (SAEM) Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE-4) is on the topic of the emergency department (ED) management of nonopioid use disorders and focuses on alcohol withdrawal syndrome (AWS), alcohol use disorder (AUD), and cannabinoid hyperemesis syndrome (CHS). The SAEM GRACE-4 Writing Team, composed of emergency physicians and experts in addiction medicine and patients with lived experience, applied the Grading of Recommendations Assessment Development and Evalua...
Source: Accident and Emergency Nursing - May 15, 2024 Category: Emergency Medicine Authors: Bjug Borgundvaag Fernanda Bellolio Isabelle Miles Evan S Schwarz Sameer Sharif Mark K Su Kevin Baumgartner David B Liss Hasan Sheikh Jody Vogel Emily B Austin Suneel Upadhye Michelle Klaiman Robert Vellend Anna Munkley Christopher R Carpenter Source Type: research

Evaluating follow-up rates in cancer screening interventions among emergency department patients
Acad Emerg Med. 2024 May 14. doi: 10.1111/acem.14938. Online ahead of print.NO ABSTRACTPMID:38742269 | DOI:10.1111/acem.14938 (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - May 14, 2024 Category: Emergency Medicine Authors: Trisha Mondal Brenda Hernandez-Romero Nancy Wood David Adler Beau Abar Source Type: research

Comparison of a 30-year trend of incidence, prevalence, and DALY due to low back pain in Iran with Low- and High-SDI countries; Based on GBD study 2019 Data
CONCLUSION: The age-standardized incidence and prevalence of LBP in Iran showed a downward trend, from 1993 to 2019, especially from 1996 to 1999. Comparing Iran with low- and high-SDI countries, a heavier incidence of LBP was observed in Iran and heavier prevalence and DALY were seen in high-SDI countries. Therefore, more therapeutic healthcare interventions are required to reduce the LBP burden more effectively.PMID:38737131 | PMC:PMC11088793 | DOI:10.22037/aaem.v12i1.2257 (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - May 13, 2024 Category: Emergency Medicine Authors: Aliyeh Daryabor Alireza Akbarzadeh Baghban Source Type: research

Fatal Septic Shock Due to Aeromonas Hydrophila in a Cirrhotic Patient; a Case Report
Arch Acad Emerg Med. 2024 Mar 15;12(1):e37. doi: 10.22037/aaem.v12i1.2270. eCollection 2024.ABSTRACTAeromonas hydrophila has been identified as a causative agent of necrotizing fasciitis and myonecrosis, with most reported cases having a connection to aquatic-related trauma. Cases without such trauma history are rare in existing literature. Here, we present the case of a 56-year-old cirrhotic patient who lacked any prior aquatic-related trauma and arrived at the emergency department in a state of septic shock. The suspected route of entry was through necrotizing fasciitis and myonecrosis in his left forearm. Unfortunately,...
Source: Accident and Emergency Nursing - May 13, 2024 Category: Emergency Medicine Authors: Do Thanh Hoa Vu Anh Duc Nguyen Hai Ghi Xuan Duong Le Duong Duc Anh Source Type: research

Incidence and Outcomes of Aortic Dissection in Tabriz, Iran; a Longitudinal Study of 150 Cases
CONCLUSION: The study revealed an annual incidence rate of aortic dissection as 2.35 per 100000 population. Aortic dissection, regardless of type, remains a highly fatal condition, with over half of patients dying within 3 months of the initial event. To reduce the high mortality rates associated with aortic dissections, it is crucial to implement specific measures for the early identification of patients and ensure prompt and appropriate care.PMID:38737133 | PMC:PMC11088787 | DOI:10.22037/aaem.v12i1.2314 (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - May 13, 2024 Category: Emergency Medicine Authors: Gholamreza Faridaalaee Nima Fathi Kavous Shahsavarinia Hamed Zarei Mahmoud Yousefifard Source Type: research

Traditional Spinal Immobilization versus Spinal Motion Restriction in Cervical Spine Movement; a Randomized Crossover Trial
CONCLUSION: SMR that used scoop stretcher resulted in significantly less cervical spine movement than immobilization with a TSI that used long spinal board. We recommend implementing the SMR protocol for transporting trauma patients, as minimizing cervical motion may enhance patient outcomes.PMID:38737134 | PMC:PMC11088786 | DOI:10.22037/aaem.v12i1.2263 (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - May 13, 2024 Category: Emergency Medicine Authors: Promphet Nuanprom Chaiyaporn Yuksen Welawat Tienpratarn Parunchaya Jamkrajang Source Type: research

Cincinnati Prehospital Stroke Scale (CPSS) as a Screening Tool for Early Identification of Cerebral Large Vessel Occlusions; a Systematic Review and Meta-analysis
CONCLUSION: A very low level of evidence demonstrated that CPSS, with a threshold set at ≥2, is a useful tool for identifying LVO stroke and directing patients to CSCs, both in prehospital and in-hospital settings.PMID:38737135 | PMC:PMC11088790 | DOI:10.22037/aaem.v12i1.2242 (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - May 13, 2024 Category: Emergency Medicine Authors: Yazdan Baser Hamed Zarei Pantea Gharin Hamid Reza Baradaran Arash Sarveazad Shayan Roshdi Dizaji Mahmoud Yousefifard Source Type: research

Comparison of a 30-year trend of incidence, prevalence, and DALY due to low back pain in Iran with Low- and High-SDI countries; Based on GBD study 2019 Data
CONCLUSION: The age-standardized incidence and prevalence of LBP in Iran showed a downward trend, from 1993 to 2019, especially from 1996 to 1999. Comparing Iran with low- and high-SDI countries, a heavier incidence of LBP was observed in Iran and heavier prevalence and DALY were seen in high-SDI countries. Therefore, more therapeutic healthcare interventions are required to reduce the LBP burden more effectively.PMID:38737131 | PMC:PMC11088793 | DOI:10.22037/aaem.v12i1.2257 (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - May 13, 2024 Category: Emergency Medicine Authors: Aliyeh Daryabor Alireza Akbarzadeh Baghban Source Type: research

Fatal Septic Shock Due to Aeromonas Hydrophila in a Cirrhotic Patient; a Case Report
Arch Acad Emerg Med. 2024 Mar 15;12(1):e37. doi: 10.22037/aaem.v12i1.2270. eCollection 2024.ABSTRACTAeromonas hydrophila has been identified as a causative agent of necrotizing fasciitis and myonecrosis, with most reported cases having a connection to aquatic-related trauma. Cases without such trauma history are rare in existing literature. Here, we present the case of a 56-year-old cirrhotic patient who lacked any prior aquatic-related trauma and arrived at the emergency department in a state of septic shock. The suspected route of entry was through necrotizing fasciitis and myonecrosis in his left forearm. Unfortunately,...
Source: Accident and Emergency Nursing - May 13, 2024 Category: Emergency Medicine Authors: Do Thanh Hoa Vu Anh Duc Nguyen Hai Ghi Xuan Duong Le Duong Duc Anh Source Type: research

Incidence and Outcomes of Aortic Dissection in Tabriz, Iran; a Longitudinal Study of 150 Cases
CONCLUSION: The study revealed an annual incidence rate of aortic dissection as 2.35 per 100000 population. Aortic dissection, regardless of type, remains a highly fatal condition, with over half of patients dying within 3 months of the initial event. To reduce the high mortality rates associated with aortic dissections, it is crucial to implement specific measures for the early identification of patients and ensure prompt and appropriate care.PMID:38737133 | PMC:PMC11088787 | DOI:10.22037/aaem.v12i1.2314 (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - May 13, 2024 Category: Emergency Medicine Authors: Gholamreza Faridaalaee Nima Fathi Kavous Shahsavarinia Hamed Zarei Mahmoud Yousefifard Source Type: research